MS. M Katherine Coolidge, LCSW

NPI #1013055094 in Canton, Georgia

Provider Information

NPI Number: 1013055094
Entity Type: Individual
Name: MS. M Katherine Coolidge, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LCSW
Enumeration Date: Feb 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1213 CHERRY LN
City: Canton
State: Georgia
ZIP Code: 30114-6812
Phone: (678) 494-6690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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